Individual provider Active NPI

Olivera Lukajic Dessieux

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1831480573
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015746 Issued in TN
Practice address
1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454
Phone
(865) 588-5121
Fax
(865) 588-5126
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000015746 TN Primary

Addresses

Primary practice location

1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454

Mailing address

PO Box 59002
Knoxville, TN 37950-9002
Phone (865) 588-5121

Other identifiers 1

IdentifierTypeStateIssuer
1525862MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000350 TN Practitioner - Nurse Practitioner 7113191818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates PCGroup PAC ID 9739132705, 33 clinicians

Practice addresses (Care Compare)

1311 Dowell Springs Blvd
Knoxville, TN 37909-2454

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
90.72 of 100Reported as group
Quality
91.46
Promoting interoperability
100
Improvement activities
40
Cost
77.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000015746TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Ventures PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1831480573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59002",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509002",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSIEUX",
        "first_name": "OLIVERA",
        "middle_name": "LUKAJIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525862",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.